Korean J Women Health Nurs.  2017 Mar;23(1):42-51. 10.4069/kjwhn.2017.23.1.42.

Comparing the Postoperative Complications, Hospitalization Days and Treatment Expenses Depending on the Administration of Postoperative Prophylactic Antibiotics to Hysterectomy

• Jung MY
• Park KY

• KMID: 2449864
• DOI: http://doi.org/10.4069/kjwhn.2017.23.1.42

Abstract

PURPOSE
This study was conducted to compare postoperative complications, hospitalization days and treatment expenses to postoperative prophylactic antibiotics administrated to hysterectomy or not.
METHODS
A retrospective survey study was performed with 128 cases in which elective hysterectomy had undergone. They were divided into two groups by identifying whether postoperative prophylactic antibiotics was administered for hysterectomy: a) one group who received postoperative prophylactic antibiotics and; b) those who did not. Data were collected using the electric medical record at a hospital and analyzed by SPSS 23.0 for χ2 test, t-test and ANCOVA.
RESULTS
Postoperative complications including wound infection (p=1.000), pneumonia (p=.496), hematoma (p=.530), and pneumoperitoneum (p=.496) showed no significant differences between two groups. Hospitalization days for the prophylactic antibioticsadministrated group were significantly longer than the non-administered for prophylactic antibiotics (p=.004). The treatment expenses of the prophylactic antibiotics-administrated group were significantly higher than those of the non-administered prophylactic antibiotics (F=4.31, p=.040).
CONCLUSION
These results can be provided for the evidence of administrating postoperative prophylactic antibiotics to hysterectomy. Additionally, it can contribute to decreasing the medication errors caused by infrequently administrating postoperative prophylactic antibiotics as well as to lessening likelihood of infection of intravenous injection site.

Keyword

Postoperative complications; Antibiotics; Hysterectomy

MeSH Terms

Anti-Bacterial Agents*
Hematoma
Hospitalization*
Hysterectomy*
Injections, Intravenous
Medical Records
Medication Errors
Pneumonia
Pneumoperitoneum
Postoperative Complications*
Retrospective Studies
Wound Infection
Anti-Bacterial Agents

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